Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | M6690 | TX |
NPI | 1114126745 |
---|---|
Provider Name | Dr. Vikas S Kancherla |
First Address | Sugar Land, TX 77478-4569 |
Second Address | Sugar Land, TX 77478-4569 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2007 |
Last Update Date | 26/08/2015 |